Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
January, 2010, Vol. 10, Issue 01
Massage Chairs: Fad, Fixture or Therapeutic Tool?
By Raymond Blaylock
The debate goes on. Some people still consider massage chairs, and the work performed on them, a form of "fluff and buff" massage, not true therapeutic massage. Some would offer that seated massage is a good marketing tool to get people into the office or clinic to get some "real" massage.
My original introduction to the use of a massage chair was during a time when my practice was located within a physical therapy rehab center in Monterey, Calif. So my frame of reference to the use of a massage chair was for people who were so physically uncomfortable that it was not possible for them to lie down on a table. In some instances my initial work was done with them on a stool. Certain types of dysfunction such as whiplash, rotator cuff injury rehab and low back discomfort seemed to present instances where the positioning on a massage chair made the massage work easier to perform and less of an energy drain on my body.
The original massage chairs in this country, and all chairs since (save for a couple of exceptions), have been designed on the concept of the back-saver chair that became popular in the early 1980s. You remember the design; a chair with no back and a slanted seat with slanted kneepads for the legs. The design was the brainchild of a Danish orthopedist, with the thought being in this position you could not "slouch" and your vertebrae were "stacked" in a fairly straight column. The chair was done for people who were spending many hours sitting at a desk doing repetitive motions with their hands above their waists, and developing the compensatory low back discomfort and cervical immobility that is associated with that type of position.
The Danish orthopedist theorized that the position in the back-saver chair relieved about 70 percent of the pressure at L-5, S-1. Although the back-saver chairs never became a large market, home versions were developed, and high-tech Sharper Image versions exist today, but research never could verify the stated hypothesis.
My experience has been that it is an effective position for individuals with low back pain. At just about every show that I have ever done over the last 17 years, I have had at least one individual who was complaining of low back discomfort tell me that the discomfort had significantly subsided after they had sat down on the chair, many times before I had even had them lean forward into the chest pad and headrest.
In the rehab setting, the chair was very significant in that I could get the chair to fit each individual according to his or her body size and type. I could put them into a supported position with the weight and pressure off L-5,S-1. A two-fold advantage exists due to the seat and leg position design of the chair and the effect on the lumbar area; and the weight and pressure release on the cervical area, due to the position and support of the head in the adjustable headrest. When the client is properly positioned, the spine is in this supported position allowing the muscles of the client's back and neck to relax, releasing biomechanical tension. The spine is ideally reasonably straight after you adjust the client in the chair with a line drawn along the lateral body from the center of the ear through the greater trochanter. The pressure on the cervical area and the lumbar region is reduced dramatically. Actually, in this position you can usually detect hypertonic tissue like a "speed bump." Plus, I think that if you just left them in the chair for 10-15 minutes in this position they would experience a certain level of release without even putting your hands on their bodies. When we do begin to use our hands, the position in the chair has helped them to become relaxed and has already relieved some of the existing tension in the cervical area and the lumbar region. In effect, the chair has already done some of the work for us.
I have found that most upper body work can be performed in a massage chair more efficiently, with about a quarter to a half the energy expenditure on my part needed for table work. For some of the work on the hand, arm and shoulders, I can actually sit down while being incredibly effective.
It has been said, "You can't build a house with just a hammer." I am assuming this would include "remodeling," too. For myself, after 36 years of doing bodywork, I know I need tools to assist me in my continued proficiency and longevity in this profession.
Perhaps it is time for you to take another look at the massage chair in a different light. When I say we can do business everywhere, what about other countries and customs related to touch? Take a look at this link to a Web site called the Business of Touch: www.businessoftouch.com.
Raymond Blaylock, practitioner and educator, is the director of education at the Touch Resource Institute. He may be contacted by email
or through his Web site: www.mytouchresources.com.
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